| NPI | 1609229269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 01393) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 10840018-3902) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2020-08-09 |